Justin Wayne Fillmore
Pediatric Dentist
2205 W Lincoln Ave
Yakima
, Washington 98902-2437
Justin Wayne Fillmore
Pediatric Dentist
2205 W Lincoln Ave
Yakima
, Washington 98902-2437
(801) 448-4283
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Justin Wayne Fillmore
- 210 S 66th Ave # 2
- Yakima, WA
- Zip : 98908-1722
- Phone : (801) 448-4283
Second Address
- Justin Wayne Fillmore
- 2205 W Lincoln Ave
- Yakima, WA
- Zip : 98902-2437
- Phone : (509) 575-3399
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 60299331 | WA |
National Provider Identifier
| NPI | 1053651893 |
|---|---|
| Provider Name | Justin Wayne Fillmore |
| First Address | Yakima, WA 98908-1722 |
| Second Address | Yakima, WA 98902-2437 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2013 |
| Last Update Date | 14/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.